DR. KELLY VINEHOUT (NPI# 1134263999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134263999 |
| Entity Type | Individual |
| Full Name | DR. KELLY VINEHOUT |
| Credential | PSYD |
| Practice Address |
1090 Mcconnell Rd Woodstock IL 60098-7310 |
| Mailing Address |
Po Box 1861 Woodstock IL 60098-1861 |
| Practice Telephone | 8152456669 |
| Practice Fax Number | 8153341640 |
| Mailing Telephone | 8152456669 |
| Mailing Fax Number | 8153341640 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2015-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006683 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | COMPSYCH | 2201382 | 01 |
| IL | MAGELLAN | 600016119 | 01 |
| IL | BCBS | 05632205 | 01 |
| IL | CAQH | 11894012 | 01 |
| Street Address |
1090 MCCONNELL RD |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020905 | Ashley Sabbath Dehn | Counselor | 1090 Mcconnell Rd, Woodstock, IL 60098-7310 | 2019-08-29 |
| 1053786269 | Shelli Pollard | Social Worker | 1090 Mcconnell Rd, Woodstock, IL 60098-7310 | 2015-12-14 |
| 1710225644 | Transformation Behavioral Health Associates LLC | Psychologist | 1090 Mcconnell Rd, Woodstock, IL 60098-7310 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790274421 | Joseph Michael Govia | Psychologist | 83 Witchtree Rd, Woodstock, NY 12498-1941 | 2018-05-08 |
| 1932419389 | Julie Ana Crittendon | Psychologist | 226 Creekstone Rdg, Woodstock, GA 30188-3732 | 2010-10-19 |
| 1013181528 | Joseph L.j. Schwartz Psy.d. P.C. | Psychologist | 1001 Weatherstone Pkwy Ste 430, Woodstock, GA 30188-4495 | 2008-04-15 |
| 1023221892 | Paige Westerfield | Psychologist | 7 Beeches Ln, Suite 3, Woodstock, CT 06281-3436 | 2007-05-08 |
| 1184753840 | Meredith Burns, Psy.d., P.C. | Psychologist | 3380 Trickum Road, Building 1000, Suite 102, Woodstock, GA 30188 | 2007-03-05 |
| 1023158391 | Elfe K Robinson | Psychologist | 29 High Rocks Road, Woodstock, NY 12498-8053 | 2007-02-07 |
| 1134268220 | Neil Marinello | Psychologist | 217 Maxham Meadow Way, Ste 1038, Woodstock, VT 05091 | 2007-02-05 |
| 1538235312 | John Roman Lutz | Psychologist | 240 Creekstone Rdg, Woodstock, GA 30188-3732 | 2006-11-25 |
| 1376637835 | Warrem H Kaplan | Psychologist | 8910 Main Street, Woodstock, GA 30188 | 2006-10-02 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.